Loading...
HomeMy WebLinkAbout1640 FRAZIER AVE; ; CB163924; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME} Permit 10-17-2016 Permit No: CB 163924 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1640 FRAZIER AV CBAD PME Parcel No: 1562124000 Lot#: 0 Reference #: PC#: Project Title: Applicant: MCCUSKER: WATER & SEWER TO BBQ STONEBROOKLANDSCAPES 414 CAMINO HERMOSO SAN MARCOS CA 92078 760 445-4242 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/17/2016 JMA 10/17/2016 10/17/2016 $163.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPRj'tL Date: /(l£ Clearance: $0.00 NOTlCE: Aease ta<e I\OTJCE thei GfP""CMll ri ;wr p-qect irductes the "lfl"lJCSitiai' ri fees, daicciia-s, reset"'.6ia1S. or dher ~a-s hereliter cnledivay refared to as "fees'exa::tiorls." Yoo tave 00 days fran the date ttis pemit W:IS issued to pn:test ifl"lJCSitioo ri these fees/exa::tials. If~ prtiest ll1en"\ ~ rrusl fdiONthe prtiest puoodJ"es set forth in G:Mmrer1 C00e Sedioo60020(a), crd file the prtiest crd <?nf dher ~red infarraliOI"l Wth the aty ~for Jl""OCSSSirg in aroda re wth Qrlsba::f M.ridpa COOe Sedioo 3.32.<ro. Rilue to tirray fdiONthct p-oorlre wlll:a"" ary ~legal a:iioo to attock, I"EMEm, set aside, ldd, or aTU tt-eir irrp:Stion Yoo ere herel:1:; FlRll-ER I\OTJRED that ycu rigt to prtiest the spedfied fees'~a-s !XE3 NOT APR. Y to Wi!lRr crd SBNl!f cxmedioo fees crd ~ d"a"'ges, ra plcnirg, mirg. gcdrg or dher sirrila-ClJplicatioo Jl""OCSSSirg or SE!Vire fees in cxmediOI"l wth ttis poqed. I'm !XE31T .APPl. Y to ary f · ri · · · a NOT1 sirrila-· ·dl li · ia-s has · dher"Wse · . THE FOI,Jl_OWING APPROYALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE OHEALTH OHAZMAT/APCD , {'Cityof Building Permit Application Plan Check No. ()0( (.-; _ ~ z_Lj 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value J Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date ro. Uo ·lb lsWPPP JOB ADDRESS 1~~0 'f"~ Azct::R.... SUITE#/SPACE#/UNIT# rPN A-v L -- - CT/PROJECT # I LOT# I PHASE II r OF UNITS 1 • BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) PL-v.. ~ & \ N ~-:-DR A\ r-J FR.o ""-5t~~ \N ~r...Q.. ---n ~eAR. C'-l.-E: A N o.,.. I EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IIAIRCONDITIONING IFIRESPRINKLERS vEs[)l_ NoD vEs0No0 YEsONoO APPLICANT NAME :-:lv_bj.J Do A..~-:-':>lA..Q.. u.F-PROPERTY OWNER -<:"J M c.....l ~.s ~E.R Primary Contact t ,._ ADDRESS ADDRESS f1<~~\&~ li\Y (' I+H",.Jt;, j....{€f't..MD (_.:> ... t<oLfo A.JE- CITY STli.TE ZIP CITY (J A/U.S f?A;O STATE ZIP SArJ l'-1\A ({.(p 5 c~ 'i l. D-1-~ Ctt:- PHONE ~· I o)t.\ ... c;--I{~'-\~ 'FAX PHONE 'FAX EMAIL "' SJot-J[_&" f...@L'-A •v- EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME S\0 E:-B 0 ...s ((!Do \-(.__ LA,.,D .>c_Afi:> ADDRESS ADDRESSL{ ( if C'A-~fNr.l Uff?..b.so CITY STATE ZIP CITY ~f'S'" STATE ZIP MARs....oS CA-~ ~ t>1-8 PHONE 'FAX PHON\k ) tAX 1.) 4'1 ~ -'{ '2'-{ EMAIL EMAIL I 5 ~f'l f.-.&~-6-1'\A"V 'STATE LIC. II STATE LIC.II Icc~~ I CITY BUS. ,c;.) > ~~ b "S :t__ "1-t (, (Sec. 7031.5 Busmess and Profess1ons Code: Any C1ty or County wh1ch reqUires a perm1t to construct, alter, 1mprove, demolish or repair an~ structure, pnor to 1ts 1ssuance, also reqUires the applicant for such permit to file a signed statement tnat he is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). WORKERS' COMPENSATION Worllers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: Q1 have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ave and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insur ce carrier and policy number are: Insurance Co. 1=R I I n 9 .... \.k l k~S c--Policy No. '7/-t. we.~ l,..X.3 '!to ~ Expiration Date _ ........ _o-+--'----'---- ~section need not be completed if the permit is for one hundred dollars ($100) or less. U Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worl<ers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. 115 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's D D D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building cir improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes ONe 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): 115 PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ·~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Ll Yes LJ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Ll Yes Ll No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Ll Yes Ll No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans Is accurate. I agree to comply with all Cily ordinances and State laws relating to building construction. I hereby authorize represenlalive of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBfiD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemntt is required for excavations over 5'0' deep and demolition or construction of strucb.Jres over 3 stories in height EXPIRATION: Every pemntt issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pemntt is not commenced wtthin 180 days from the date of such pemntt or if the building or work authorized by such pemntt is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifoon Building Code). ~APPLICANT'S SIGNATURE DATE • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. (Office Use Only) CA DEUVERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o ASSOCIATED CB#·------------ o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE I NO CONSTRUCTION MAILIFAXTOOTHER: _____________________________ ___ o CHANGE OF USE I NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE Inspection List CB163924 PME MCCUSKER: WATER & SEWER TO Date Inspection Item Inspector Act Comments BBQ Permit#: Type: 21 Underground/Under Floor PD AP10/18/2016 Tuesday, November 15, 2016 Page 1 of 1 PERMIT INSPECTION HISTORY REPORT (CB163924) BLDG-Residential 10/17/2016Application Date:Permit Type:Owner: Subdivision:P/M/E 10/17/2016Work Class:Issue Date: 1640 Frazier Av Carlsbad, CA Address:Issued - Active 04/17/2017Expiration Date:Status: IVR Number: 717760 Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 11/15/2016 11/15/2016 BLDG-Final Inspection 001101-2016 Passed Peter Dreibelbis Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Strutural Final Yes BLDG-Electrical Final Yes November 15, 2016 Page 1 of 1 l~ ~ r) L~ 6 l~ y -- \{) \~ ::::::> ...,<:::..J () ~ ~ 0 J) J oL g <i -9 0 -i * J -ti 0 3 . \- f ~ ~ ~ § ~ =ro I~ (< _] '::;. ~ I \· v ~j) JJ 0 ~ ·k {